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Direct healthcare costs of spinal disorders in Brazil

Author

Listed:
  • Rodrigo Luiz Carregaro

    (Vrije Universiteit Amsterdam
    Universidade de Brasília (UnB))

  • Everton Nunes Silva

    (Universidade de Brasília (UnB))

  • Maurits van Tulder

    (Vrije Universiteit Amsterdam
    Aarhus University Hospital)

Abstract

Objectives To estimate the direct healthcare costs of spinal disorders in Brazil over 2016. Methods This is a prevalence-based cost-of-illness study with a top-down approach from the perspective of the public healthcare system. All international Classification of Diseases codes related to spinal disorders were included. The following costs were obtained: (1) hospitalization; medical professional service costs; intensive care unit costs; companion daily stay; (2) outpatient (services/procedures). Data were analyzed descriptively and costs presented in US$. Results The healthcare system spent US$ 71.4 million, and inpatient care represented 58%. The number of inpatient days was 250,426, and there were 36,654 hospital admissions (dorsalgia and disk disorders representing 70% of the costs). More than 114,000 magnetic resonance scans and 107,000 computerized tomography scans were adopted. Men had more inpatient days (138,215) than women (112,211). Overall, the inpatient/outpatient cost ratio was twice as high for men. Conclusions We demonstrated that the direct costs of spinal disorders in Brazil in 2016 were considerable. We also found a substantial amount of financial resources spent on diagnostic imaging. This is relevant as the routine use of diagnostic imaging for back pain is discouraged in international guidelines.

Suggested Citation

  • Rodrigo Luiz Carregaro & Everton Nunes Silva & Maurits van Tulder, 2019. "Direct healthcare costs of spinal disorders in Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 965-974, July.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01211-6
    DOI: 10.1007/s00038-019-01211-6
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    References listed on IDEAS

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    1. Adam, Taghreed & Evans, David B., 2006. "Determinants of variation in the cost of inpatient stays versus outpatient visits in hospitals: A multi-country analysis," Social Science & Medicine, Elsevier, vol. 63(7), pages 1700-1710, October.
    2. Samanta Pereira Sussenbach & Everton Nunes Silva & Milene Amarante Pufal & Daniela Shan Casagrande & Alexandre Vontobel Padoin & Cláudio Corá Mottin, 2014. "Systematic Review of Economic Evaluation of Laparotomy versus Laparoscopy for Patients Submitted to Roux-en-Y Gastric Bypass," PLOS ONE, Public Library of Science, vol. 9(6), pages 1-8, June.
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    Cited by:

    1. Rodrigo Luiz Carregaro & Caroline Ribeiro Tottoli & Daniela da Silva Rodrigues & Judith E Bosmans & Everton Nunes da Silva & Maurits van Tulder, 2020. "Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-15, April.

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